What are important treatment considerations when treating a bariatric patient for
cardiovascular conditioning in terms of intensity? - ANSWER Aerobic
Exercise
Modified Intensity
30% to 50% of Maximal Heart Rate
Gradual increase of intensity
What are the risk factors to monitor closely when exercising an obese patient? -
ANSWER Non weight bearing exercises if joint pain and injury
Watch for hyperthermia
Hydrate before, during and after exercise
Diabetic Precautions
Vital Sign Monitor
What do you think is meant by the term "obesity bias"? How can it be avoided?
- ANSWER weight discrimination.
"negative weight-related attitudes, beliefs, assumptions and judgments toward
individuals who are overweight and obese"
Health professionals can make a difference by becoming aware of their own
biases, developing empathy, and working to address the needs and concerns of
obese patients.
Consider the patients experience in your setting.
Recognize the complex etiology of obesity. It is not all about willpower.
, Acknowledge the difficulty of lifestyle changes. Small weight losses can result
in significant health gains.
Identify one's own bias. Consider: Am I sensitive to the needs and concerns of
obese patients?
Do I treat the individual or only the condition?
How do you measure body mass index? - ANSWER BMI = Mass (Kg) / Height
(M)2
Conversions from metric to English
Mass in pounds X 0.455 = Mass in kilograms
Height in inches X 0.0254 = height in meters
What is the best treatment progression strategy for a bariatric patient? -
ANSWER Progression:
Initial sessions of 10 minutes to 20 minutes
Deconditioned patients begin at low intensity level
Advance duration and frequency prior to advancing intensity
What is the posture of an obese person? - ANSWER Anterior displacement of
center of gravity
Protruding abdomen
Decrease cervical lordosis
Increased head protrusion
Exaggerated thoracic kyphosis
Increased lumbar lordosis
Pelvic anteversion (anterior pelvic tilt)
Hips internal rotation
Knees hyperextension
Feet: Pedis planus
How does obesity modify gait? Think about BOS, stance phase, swing phase,
etc - ANSWER Greater energy expenditure
Reduced mechanical efficiency
Slower speed and velocity
Shorter step length
Longer stance phase
cardiovascular conditioning in terms of intensity? - ANSWER Aerobic
Exercise
Modified Intensity
30% to 50% of Maximal Heart Rate
Gradual increase of intensity
What are the risk factors to monitor closely when exercising an obese patient? -
ANSWER Non weight bearing exercises if joint pain and injury
Watch for hyperthermia
Hydrate before, during and after exercise
Diabetic Precautions
Vital Sign Monitor
What do you think is meant by the term "obesity bias"? How can it be avoided?
- ANSWER weight discrimination.
"negative weight-related attitudes, beliefs, assumptions and judgments toward
individuals who are overweight and obese"
Health professionals can make a difference by becoming aware of their own
biases, developing empathy, and working to address the needs and concerns of
obese patients.
Consider the patients experience in your setting.
Recognize the complex etiology of obesity. It is not all about willpower.
, Acknowledge the difficulty of lifestyle changes. Small weight losses can result
in significant health gains.
Identify one's own bias. Consider: Am I sensitive to the needs and concerns of
obese patients?
Do I treat the individual or only the condition?
How do you measure body mass index? - ANSWER BMI = Mass (Kg) / Height
(M)2
Conversions from metric to English
Mass in pounds X 0.455 = Mass in kilograms
Height in inches X 0.0254 = height in meters
What is the best treatment progression strategy for a bariatric patient? -
ANSWER Progression:
Initial sessions of 10 minutes to 20 minutes
Deconditioned patients begin at low intensity level
Advance duration and frequency prior to advancing intensity
What is the posture of an obese person? - ANSWER Anterior displacement of
center of gravity
Protruding abdomen
Decrease cervical lordosis
Increased head protrusion
Exaggerated thoracic kyphosis
Increased lumbar lordosis
Pelvic anteversion (anterior pelvic tilt)
Hips internal rotation
Knees hyperextension
Feet: Pedis planus
How does obesity modify gait? Think about BOS, stance phase, swing phase,
etc - ANSWER Greater energy expenditure
Reduced mechanical efficiency
Slower speed and velocity
Shorter step length
Longer stance phase
